As an instructor, you can often help a student who is struggling with the material in your course by connecting them with the support services available at GBCC. Faculty and advisors can use this form to refer a student to CAPS in order to provide further academic support.

You may complete and submit this form electronically. Please see a member of the CAPS staff if you need assistance with using this form.

Academic Alert Referral Form

Access to this referral, and any follow-up action, is limited to the faculty member/Advisor making the referral, the Program Coordinator/Advisor, the student, and CAPS staff unless legal or safety concerns arise. A copy will be sent to the student’s Program Coordinator/Advisor.

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